The impact of dysphagia on quality of life in stroke patients
The impact of dysphagia on quality of life in stroke patients
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DOI：
10.1097/md.0000000000021795
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发表时间：
2020-08-21
期刊：
影响因子：
1.6
通讯作者：
Kim, Jae-Hyung
中科院分区：
文献类型：
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作者：
Kim, Doo-Young;Park, Hyo-Sik;Kim, Jae-Hyung
本研究的目的是使用吞咽生活质量（SWAL-QOL）问卷调查脑卒中患者的生活质量。SWAL-QOL问卷结果与脑卒中患者的视频透视吞咽困难量表（VDS）评分之间的相关性也被确定。这项横断面研究回顾性进行了75例脑卒中患者吞咽困难的症状。对所有患者进行电视透视吞咽研究（VFSS）和SWAL-QOL问卷调查。这些患者被分为口服喂养组和管饲组。比较两组SWAL-QOL评分。吞咽困难的严重程度根据视频透视吞咽研究结果通过VDS评分进行评估。并对SWAL-QOL评分与VDS评分之间的关系进行了研究。管饲组的综合评分为48.82 +/- 19.51，口服组为53.17 +/- 25.42。两组之间SWAL-QOL的负荷和睡眠亚领域存在显著差异（分别为P = 0.005和P = 0.012）。SWAL-QOL结局综合评分与VDS总分呈显著负相关（r =-0.468，P = .012）。VDS的咽期评分与SWAL-QOL子领域的负担（r =-0.327，P = .013）、心理健康（r =-0.348，P = .008）和社会功能（r =-0.365，P = .029）呈显著负相关。为提高脑卒中患者的生活质量，吞咽障碍的康复应着眼于吞咽障碍的咽期。
The objective of this study was to investigate the quality of life in stroke patients using a swallowing quality of life (SWAL-QOL) questionnaire. The correlation between SWAL-QOL questionnaire outcome and videofluoroscopic dysphagia scale (VDS) scores in stroke patients was also determined. This cross-sectional study was retrospectively conducted with 75 stroke patients with dysphagia symptoms. Videofluoroscopic swallowing study (VFSS) and SWAL-QOL questionnaires were performed for all patients. These patients were divided into an oral feeding group and a tube feeding group. SWAL-QOL scores were compared between the 2 groups. The severity of dysphagia was estimated by VDS scores according to the videofluoroscopic swallowing study results. The relationships between SWAL-QOL scores and VDS scores were also investigated. The composite score was 48.82 +/- 19.51 for the tube feeding group and 53.17 +/- 25.42 for the oral feeding group. There were significant differences in burden and sleep subdomains of the SWAL-QOL between the 2 groups (P = .005 andP = .012, respectively). There was a significant negative correlation between the composite score of SWAL-QOL outcome and the total VDS score (r = -0.468,P = .012). The pharyngeal-phase score of the VDS had significant negative correlations with the SWAL-QOL subdomains of burden (r = -0.327,P = .013), mental health (r = -0.348,P = .008), and social functioning (r = -0.365,P = .029). To improve the quality of life of stroke patients, dysphagia rehabilitation should focus on the pharyngeal phase of dysphagia.